Steve Thomas Toshio Bullock

Primary specialty

DentistTaxonomy code 122300000X

License

00401005556 Issued in VA

Practice address

1385 Laskin Rd
Virginia Beach, VA 23451-6089

Phone

(757) 425-1547

Fax

(757) 425-6603

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740264209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 SEAVIEW AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551448",
            "telephone_number": "757-460-0433",
            "fax_number": "757-425-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 LASKIN RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516089",
            "telephone_number": "757-425-1547",
            "fax_number": "757-425-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "STEVE",
        "middle_name": "THOMAS TOSHIO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "00401005556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991174",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "6145",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ave' Maria Bullard, P. T.
• George Bullard Jr., M.D.
• Mikaela Deanna Bullard
• Nicholas Wheeling Bulleit, LPTA
• Larry Joel Bullock, DDS
• Rebecca Dawn Bumgardner, O.D.
• Andy Cameron Bunch, M.D.
• Kathleen Louise Bunch
• Lorenzo Jermaine Bunch
• Aimee Bundick Morgan, PA

• Dentist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.